Healthcare Provider Details
I. General information
NPI: 1366083214
Provider Name (Legal Business Name): BROOKE ANNE OCHS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/02/2019
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1210 MEDICAL ARTS BLVD STE 104A
ANDERSON IN
46011-3461
US
IV. Provider business mailing address
6626 E 75TH ST STE 500
INDIANAPOLIS IN
46250-2890
US
V. Phone/Fax
- Phone: 765-298-4660
- Fax:
- Phone: 317-621-7547
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | 71009440A |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: